45 research outputs found

    Data compression in smart distribution systems via singular value decomposition

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    Electrical distribution systems have been experiencing many changes in recent times. Advances in metering system infrastructure and the deployment of a large number of smart meters in the grid will produce a big volume of data that will be required for many different applications. Despite the significant investments taking place in the communications infrastructure, this remains a bottleneck for the implementation of some applications. This paper presents a methodology for lossy data compression in smart distribution systems using the singular value decomposition technique. The proposed method is capable of significantly reducing the volume of data to be transmitted through the communications network and accurately reconstructing the original data. These features are illustrated by results from tests carried out using real data collected from metering devices at many different substations

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Background: Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. // Methods: We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung's disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. // Findings: We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung's disease) from 264 hospitals (89 in high-income countries, 166 in middle-income countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in low-income countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. // Interpretation: Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between low-income, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    Effects of pre- and postnatal protein deprivation and postnatal refeeding on atrial natriuretic peptide (ANP) granules of auricular cardiocytes

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    Background & aims: Atrial natriuretic peptide (ANP-granules) of auricular cardiocytes was examined by morphometry in undernourished and refed rats. Methods: The study was conducted on 21 and 42-day-old rats from mothers exposed to 73% protein restriction during the gestation and lactation with and without refeeding and on age-matched control animals. The body and the heart were weighted and the ANP-granules are located by transmission electron microscopy. Results: Protein deprivation in the 42 postnatal days reduced the body weights and the heart weights of the pups. Refeeding did not restore body weight or heart weight to control. In the undernourished group, the number of ANP-granules/field (27.3 ± 6.22) was significantly (p < 0.05) greater at 42 days than in the control (10.5 ± 1.89). In the refed group, the number of ANP-granules was also significantly greater, than that in the group on undernutrition. The diameter of ANP-granules in the undernourished animals was similar to the refed rats at 42 days and significantly greater than in the control (p < 0.05). Conclusion: Refeeding between 21 and 42 days increased the number of ANP-granules and maintained their diameter even when there is a reduction in heart weight caused by protein deprivation. © 2010 European Society for Clinical Nutrition and Metabolism

    Effects of pre- and postnatal protein deprivation and postnatal refeeding on atrial natriuretic peptide (ANP) granules of auricular cardiocytes

    No full text
    Background & aims: Atrial natriuretic peptide (ANP-granules) of auricular cardiocytes was examined by morphometry in undernourished and refed rats. Methods: The study was conducted on 21 and 42-day-old rats from mothers exposed to 73% protein restriction during the gestation and lactation with and without refeeding and on age-matched control animals. The body and the heart were weighted and the ANP-granules are located by transmission electron microscopy. Results: Protein deprivation in the 42 postnatal days reduced the body weights and the heart weights of the pups. Refeeding did not restore body weight or heart weight to control. In the undernourished group, the number of ANP-granules/field (27.3 ± 6.22) was significantly (p < 0.05) greater at 42 days than in the control (10.5 ± 1.89). In the refed group, the number of ANP-granules was also significantly greater, than that in the group on undernutrition. The diameter of ANP-granules in the undernourished animals was similar to the refed rats at 42 days and significantly greater than in the control (p < 0.05). Conclusion: Refeeding between 21 and 42 days increased the number of ANP-granules and maintained their diameter even when there is a reduction in heart weight caused by protein deprivation. © 2010 European Society for Clinical Nutrition and Metabolism

    Efects of Diet Supplemented With Omega-3 in Soleus Muscle of Rats Submitted to Swimming: Histological and Morphometric Analysis

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    Muscle injuries have been observed as the most frequent in sports. Considering the production of Reactive Oxygen Species as a risk factor for installation of injuries and antioxidant and anti-inflammatory characteristics of Omega-3, the objective of this study was to evaluate the histological and morphometric changes of the soleus muscle of rats that practiced swimming, associated with a diet supplemented with Omega-3. 31 Wistar rats divided into 4 groups were used, namely groups A and C supplemented with olive oil and B and D with 3g/day of Omega-3, for 4 weeks. Groups C and D were submitted to swimming for 5 days / week during 28 days, with addition of 5% of body weight from the second week on; while groups A and B did not perform training. After this period the animals were sacrificed, the soleus muscle removed and stained with hematoxylin and eosin for morphological evaluation. Bifactorial analysis of variance with significance level of 5% was used for analysis of values of smallest diameter of the muscle fibers. Groups A and B (sedentary) presented normal histological patterns. Group C showed increase of endomisial tissue and number of nuclei, presence of phagocytized fibers and not maintained polygonal contours, whereas group D showed few phagocytized fibers and polygonal contours preserved. Regarding the measurement of the smallest diameter of the muscle fibers, the analyses showed differences for the training factor, but not for the supplementation factor or interaction between them. The histological changes induced by exercise were attenuated in the group supplemented with Omega-3, suggesting hence a protective effect of supplementation; however, the diameter increase of the fibers for the groups exposed to exercise is related to the training effect and not to supplementation.16536336
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